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Medical-Surgical Telemetry: Q&A for Nursing Practice, Exams of Nursing

The University of Texas Medical BranchNursing

A series of questions and answers related to medical-surgical telemetry, focusing on patient care scenarios and clinical decision-making. It covers topics such as obtaining informed consent, medication management, postoperative care, and emergency response. The questions address various medical conditions and nursing interventions, providing a valuable resource for nursing students and professionals to test their knowledge and enhance their clinical skills. The content is designed to simulate real-world scenarios encountered in telemetry units, promoting critical thinking and problem-solving abilities. It includes questions about medication side effects, lab value interpretation, and appropriate nursing actions in different clinical situations. This material is useful for exam preparation and continuous professional development.

Typology: Exams

2024/2025

Available from 06/02/2025

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Prophecy Medical Surgical – Telemetry |
Questions & Answers | 100%
Correct | Verified
You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not
speak Spanish and are having difficulty communicating with your patient. Which of the following
resources would be most appropriate to utilize in order to obtain consent? - ✔✔The hospitals language
interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the
following medication should you question? - ✔✔Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
✔✔Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would
indicate an emergency? - ✔✔Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? - ✔✔Looking through the
chart of a coworker admitted to your unit
- ✔✔Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks
you about the procedure what would be the most therapeutic response? - ✔✔Due to the size of the
kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a
sudden cardiac arrest and family wants CPR initiated. How should you respond? - ✔✔Honor the patient's
wishes
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Download Medical-Surgical Telemetry: Q&A for Nursing Practice and more Exams Nursing in PDF only on Docsity!

Prophecy Medical Surgical – Telemetry |

Questions & Answers | 100%

Correct | Verified

You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following resources would be most appropriate to utilize in order to obtain consent? - ✔✔The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question? - ✔✔Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? - ✔✔Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency? - ✔✔Laryngeal strider Which of the following actions would be considered a violation of Hyppa? - ✔✔Looking through the chart of a coworker admitted to your unit

  • ✔✔Sinus tachycardia You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks you about the procedure what would be the most therapeutic response? - ✔✔Due to the size of the kidney stone it is an appropriate treatment? NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a sudden cardiac arrest and family wants CPR initiated. How should you respond? - ✔✔Honor the patient's wishes
  • ✔✔Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient is experiencing: - ✔✔ Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best action? - ✔✔Aspirate the fluid, advance the catheter farther, then re-inflate the balloon When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anticipate which diagnosis? - ✔✔Subcutaneous emphysema You are providing patient education to a patient prior to administering IV Protonix.... When there is no history of GERD - ✔✔Protonix is given as G.I. prophylaxis to prevent stress ulcers
  • ✔✔Normal sinus with VTach The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute O2 saturation of 82%. What medication would be given in the situation? - ✔✔Narcan You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain pulse ox at 86%. The patient may be experiencing: - ✔✔Pulmonary embolism Cardiac strip - ✔✔Unable to determine At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood sugar is currently 60. Which of the following is the most appropriate intervention - ✔✔Have the patient drink 120 ML's of orange juice

Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? - ✔✔Sputum with streaks of blood NOT: increased salivation Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? - ✔✔Compress the drain, then plug the bulb to establish suction Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? - ✔✔Educate the spouse on oxygen use as a medical device in the hospital Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the orders received. What should be done with this urine sample? - ✔✔Discarded, then begin the 24 hour collection Which of the following lab values would you expect to see in a patient diagnosed with?.... - ✔✔Lipase - 196 You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? - ✔✔Upper G.I. bleed Your COPD patient is complaining of wheezing and increased shortness of breath - ✔✔Assess your patient for a change in condition What information is vital for you to know prior to administering an ordered dose of digoxin - ✔✔Heart rate Your patient has been diagnosed with a hemorrhagic CVA - ✔✔Heparin infusion per pharmacy protocol A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: - ✔✔Pulmonary embolism?

NOT: tuberculosis You're reviewing the menu list of a patient on Warfran what food should they not eat? - ✔✔Spinach Which of the following issues should be reported up the chain of command - ✔✔A coworker arriving to work under the influence of alcohol You're providing discharge instructions to a CHF patient. - ✔✔Increase shortness of breath cardiac rhythm - ✔✔V-Tach Which of the following electrolyte value should be Addressed immediately by the nurse - ✔✔Potassium 2.5 mEq/L Which of the following medication may cause urine discoloration - ✔✔Rifampin Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - ✔✔ 1520 When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: - ✔✔Protecting the patient's head and extremities from contact with surrounding objects You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows asystolye, what should be your first action? - ✔✔Assess the patient Not: start CPR Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - ✔✔Women could have pain in their arm, neck, back or jaw